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The Impact of a Volleyball-Specific Fatigue Protocol on the Balance, Proprioception, and Performance of Volleyball Players at High and Low Risk for ACL Injuries

Document Type : Original Articles

Authors

1 Department of exercise Physiology and Corrective exercise, Faculty of Sport Sciences, Urmia University, Urmia, Iran.

2 Department of Exercise Physiology and Corrective Exercise, Faculty of Sport Sciences, Urmia University, Urmia, Iran

Abstract

Background: This study aimed to assess the impact of a volleyball-specific fatigue protocol on balance, proprioception, and performance in volleyball players with differing ACL injury risk levels.
Methods: his semi-experimental research utilized a pre-test-post-test design. Forty volleyball players from Urmia were selected and divided into low- and high-risk groups based on ACL injury potential, assessed using the Landing Error Scoring System (LESS). A LESS score below 6 indicated low risk, while above 6 indicated high risk. Balance was measured using the stork test (static balance) and Y balance test (dynamic balance), knee proprioception was assessed with a goniometer, and performance was evaluated with the Sargent jump test. After baseline assessments, players were subjected to a volleyball-specific fatigue protocol, after which all tests were repeated. Analysis of covariance and dependent t-tests were used to evaluate inter-group and intra-group differences.
Results: The dependent t-tests and analysis of covariance indicated that fatigue significantly decreased static balance (P=0.001, P=0.001), dynamic balance (P=0.001, P=0.001), and performance (P=0.001, P=0.001). Wilcoxon and Mann-Whitney U tests also significantly reduced proprioception post-fatigue (P=0.001, P=0.001). Additionally, significant differences were found between the groups for all variables (P<0.05) except for proprioception (P>0.05).
Conclusion: Overall, the findings suggest that fatigue is a significant factor in reducing balance, proprioception, and explosive power. This decline was greater in the high-risk injury group, likely due to baseline neuromuscular weaknesses in this group.
 
 
 

Keywords

References
  1. Wikstrom E, Tillman M, Schenker S, Borsa P. Failed jump landing trials: deficits in

neuromuscular control. Scandinavian journal of medicine &amp; science in sports. 2008;18(1):55-61.

  1. Withrow TJ, Huston LJ, Wojtys EM, Ashton-Miller JA. The relationship between quadriceps

muscle force, knee flexion, and anterior cruciate ligament strain in an in vitro simulated jump landing.

The American journal of sports medicine. 2006;34(2):269-74.

  1. Shimokochi Y, Shultz SJ. Mechanisms of noncontact anterior cruciate ligament injury. Journal

of athletic training. 2008;43(4):396-408.

  1. Van Der Does H, Brink M, Benjaminse A, Visscher C, Lemmink K. Jump landing

characteristics predict lower extremity injuries in indoor team sports. International journal of sports

medicine. 2015:251-6.

  1. Almaawi A, Awwad W, Bamugaddam A, Alasheikh M, Muaddi M, Almutair O, et al.

Prevalence of knee injuries among male college students in Riyadh, Kingdom of Saudi Arabia.

Journal of orthopaedic surgery and research. 2020;15(1):1-8.

  1. Tillman MD, Smith KR, Bauer JA, Cauraugh JH, Falsetti AB, Pattishall JL. Differences in

three intercondylar notch geometry indices between males and females: a cadaver study. The Knee.

2002;9(1):41-6.

  1. Beutler AI, Sarah J, Marshall SW, Padua DA, Boden BP. Muscle strength and qualitative

jump-landing differences in male and female military cadets: The jump-ACL study. Journal of sports

science &amp; medicine. 2009;8(4):663.

  1. Tsai Y-J, Chia C-C, Lee P-Y, Lin L-C, Kuo Y-L. Landing kinematics, sports performance, and

isokinetic strength in adolescent male volleyball athletes: influence of core training. Journal of sport

rehabilitation. 2020;29(1):65-72.

  1. Zahradnik D, Jandacka D, Farana R, Uchytil J, Hamill J. Identification of types of landings

after blocking in volleyball associated with risk of ACL injury. European journal of sport science.

2017;17(2):241-8.

  1. Yu B, Herman D, Preston J, Lu W, Kirkendall DT, Garrett WE. Immediate effects of a knee

brace with a constraint to knee extension on knee kinematics and ground reaction forces in a stop-

jump task. The American journal of sports medicine. 2004;32(5):1136-43.

  1. Hewett TE, Myer GD, Ford KR, Heidt Jr RS, Colosimo AJ, McLean SG, et al. Biomechanical

measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament

injury risk in female athletes: a prospective study. The American journal of sports medicine.

2005;33(4):492-501.

  1. Willson JD, Davis IS. Utility of the frontal plane projection angle in females with

patellofemoral pain. Journal of Orthopaedic &amp; Sports Physical Therapy. 2008;38(10):606-15.

  1. Bigland‐Ritchie B, Woods J. Changes in muscle contractile properties and neural control

during human muscular fatigue. Muscle &amp; Nerve: Official Journal of the American Association of

Electrodiagnostic Medicine. 1984;7(9):691-9.

 

  1. Jackson ND, Gutierrez GM, Kaminski T. The effect of fatigue and habituation on the stretch

reflex of the ankle musculature. Journal of electromyography and kinesiology. 2009;19(1):75-84.

  1. Gehring D, Melnyk M, Gollhofer A. Gender and fatigue have influence on knee joint control

strategies during landing. Clinical biomechanics. 2009;24(1):82-7.

  1. Mclean SG, Fellin RE, Suedekum N, Calabrese G, Passerallo A, Joy S. Impact of fatigue on

gender-based high-risk landing strategies. Medicine and science in sports and exercise.

2007;39(3):502-14.

  1. Padua DA, Marshall SW, Boling MC, Thigpen CA, Garrett Jr WE, Beutler AI. The Landing

Error Scoring System (LESS) is a valid and reliable clinical assessment tool of jump-landing

biomechanics: the JUMP-ACL study. The American journal of sports medicine. 2009;37(10):1996-

2002.

  1. Cooper CN, Dabbs NC, Davis J, Sauls NM. Effects of lower-body muscular fatigue on

vertical jump and balance performance. The Journal of Strength &amp; Conditioning Research.

2020;34(10):2903-10.

  1. Lacey M, Donne B. Does fatigue impact static and dynamic balance variables in athletes with

a previous ankle injury? International Journal of Exercise Science. 2019;12(3):1121.

  1. Wikstrom EA. Functional VS Isokinetic Fatigue Protocol: Effects on time to stabilization,

peak vertical ground reaction forces, and joint kinematics in jump landing: University of Florida;

2003.

  1. Pappas E, Sheikhzadeh A, Hagins M, Nordin M. The effect of gender and fatigue on the

biomechanics of bilateral landings from a jump: Peak values. Journal of sports science &amp; medicine.

2007;6(1):77.

  1. Chappell JD, Herman DC, Knight BS, Kirkendall DT, Garrett WE, Yu B. Effect of fatigue on

knee kinetics and kinematics in stop-jump tasks. The American journal of sports medicine.

2005;33(7):1022-9.

  1. Dickin DC, Johann E, Wang H, Popp JK. Combined effects of drop height and fatigue on

landing mechanics in active females. Journal of applied biomechanics. 2015;31(4):237-43.

  1. Brazen DM, Todd MK, Ambegaonkar JP, Wunderlich R, Peterson C. The effect of fatigue on

landing biomechanics in single-leg drop landings. Clinical Journal of Sport Medicine.

2010;20(4):286-92.

  1. Hosseini SH, Gheitasi M, Hosseini SM. Effect of Lower-Limb Fatigue on the Kinematic

Variables Predicting Acl Injury During an Unanticipated Block Among Adolescent Female Volleyball

Players. Available at SSRN 4340860.

  1. Cattoni SL. The effects of ankle bracing and fatigue on time to stabilization in subjects with

chronic ankle instability: University of Toledo; 2010.

  1. Shaw MY, Gribble PA, Frye JL. Ankle bracing, fatigue, and time to stabilization in collegiate

volleyball athletes. Journal of Athletic Training. 2008;43(2):164-71.

  1. Wikstrom EA, Arrigenna MA, Tillman MD, Borsa PA. Dynamic postural stability in subjects

with braced, functionally unstable ankles. Journal of athletic training. 2006;41(3):245.

  1. Kang H. Sample size determination and power analysis using the G* Power software. Journal

of educational evaluation for health professions. 2021;18.

  1. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiologie

Clinique/Clinical Neurophysiology. 2008;38(6):467-78.

  1. Hutagalung AP, Akhmad I, Irfan M. Development of Test and Measurement Tools Standing

Stork Test Android Based. Kinestetik: Jurnal Ilmiah Pendidikan Jasmani. 2023;7(2):293-304.

  1. Coughlan GF, Fullam K, Delahunt E, Gissane C, Caulfield BM. A comparison between

performance on selected directions of the star excursion balance test and the Y balance test. Journal of

athletic training. 2012;47(4):366-71.

  1. Delahunt E, McGrath A, Doran N, Coughlan GF. Effect of taping on actual and perceived

dynamic postural stability in persons with chronic ankle instability. Archives of physical medicine and

rehabilitation. 2010;91(9):1383-9.

  1. Reiman MP, Manske RC. Functional testing in human performance: Human kinetics; 2009.
  2. Niknam H, Sarmadi A, Salavati M, Madadi F. The effect of knee kinesiotaping on

proprioception and weight bearing in ACL reconstructed patients. Journal of daneshvar medicine,

2011.19(2):33-42. [ in persian]

 

  1. do Amaral Vasconcellos FV, Fonseca RT, Dantas EHM. Validity and reproducibility of the

sargent jump test in the assessment of explosive strength in soccer players. Journal of human kinetics.

2012;33:115.

  1. Aragón LF. Evaluation of four vertical jump tests: Methodology, reliability, validity, and

accuracy. Measurement in physical education and exercise science. 2000;4(4):215-28.

  1. Liederbach M, Kremenic IJ, Orishimo KF, Pappas E, Hagins M. Comparison of landing

biomechanics between male and female dancers and athletes, part 2: influence of fatigue and

implications for anterior cruciate ligament injury. The American journal of sports medicine.

2014;42(5):1089-95.

  1. Zemková E, Viitasalo J, Hannola H, Blomqvist M, Konttinen N, Mononen K. The effect of

maximal exercise on static and dynamic balance in athletes and non-athletes. Medicina Sportiva.

2007;11(3):70-7.

  1. Johnston W, Dolan K, Reid N, Coughlan GF, Caulfield B. Investigating the effects of

maximal anaerobic fatigue on dynamic postural control using the Y-Balance Test. Journal of science

and medicine in sport. 2018;21(1):103-8.

  1. Tsarbou C, Liveris NI, Tsimeas PD, Papageorgiou G, Xergia SA, Tsiokanos A. The effect of

fatigue on jump height and the risk of knee injury after a volleyball training game: A pilot study.

Biomedical Human Kinetics. 2021;13(1):197-204.

  1. McLean SG, Walker K, Ford K, Myer G, Hewett T, van den Bogert AJ. Evaluation of a two

dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury.

British journal of sports medicine. 2005;39(6):355-62.

  1. Gandevia SC. Spinal and supraspinal factors in human muscle fatigue. Physiological reviews.

2001.

  1. Abd-Elfattah HM, Abdelazeim FH, Elshennawy S. Physical and cognitive consequences of

fatigue: A review. Journal of advanced research. 2015;6(3):351-8.

  1. Changela PK, Selvamani K. A study to evaluate the effect of fatigue on knee joint

proprioception and balance in healthy individuals. Sports Medicine Journal/Medicina Sportivâ.

2012;8(2).

  1. Faunø P, Jakobsen BW. Mechanism of anterior cruciate ligament injuries in soccer.

International journal of sports medicine. 2006;27(01):75-9.

  1. Lee W-H, Kang T-H, Kim J-H. Effect of Various Leg-Crossing Positions on Muscle Activities

of Rectus Femoris, Tensor Fascia Latae, and Hamstring in Healthy 20&#39;s Adults. The Journal of Korean

Physical Therapy. 2015;27(5):315-9.

  1. Wong TL, Huang CF, Chen PC. Effects of lower extremity muscle fatigue on knee loading

during a forward drop jump to a vertical jump in female athletes. Journal of human kinetics.

2020;72(1):5-13.

  1. Watkins CM, Barillas SR, Wong MA, Archer DC, Dobbs IJ, Lockie RG, et al. Determination

of vertical jump as a measure of neuromuscular readiness and fatigue. The Journal of Strength &amp;

Conditioning Research. 2017;31(12):3305-10.

  1. Boullosa DA, Abreu L, Beltrame LG, Behm DG. The acute effect of different half squat set

configurations on jump potentiation. The Journal of Strength &amp; Conditioning Research.

2013;27(8):2059-66.

  1. Dobbs CW, Gill ND, Smart DJ, McGuigan MR. Relationship between vertical and horizontal

jump variables and muscular performance in athletes. The Journal of Strength &amp; Conditioning

Research. 2015;29(3):661-71.

  1. Abdelkrim NB, Chaouachi A, Chamari K, Chtara M, Castagna C. Positional role and

competitive-level differences in elite-level men&#39;s basketball players. The Journal of Strength &amp;

Conditioning Research. 2010;24(5):1346-55.

  1. Valadés Cerrato D, Chena Sinovas M, Pérez López A, Álvarez Valverde I, Rubio Arias JÁ,

Ramos Campo DJ, et al. Influence of body composition on vertical jump performance according with

the age and the playing position in football players. Nutrición Hospitalaria. 2015;32(1).

  1. Sattler T, Hadžic V, Derviševic E, Markovic G. Vertical jump performance of professional

male and female volleyball players: Effects of playing position and competition level. The Journal of

Strength &amp; Conditioning Research. 2015;29(6):1486-93.

 

  1. Rodacki ALF, Fowler NE, Bennett SJ. Vertical jump coordination: fatigue effects. Medicine

&amp; Science in sports &amp; exercise. 2002;34(1):105-16.

Journal of Rehabilitation Sciences & Research
Volume 12, Issue 1
March 2025
Pages 37-44
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